Opening Thought. Regional Technical Expert Panel for States with Tribal Sub-Recipients CAPT WEBINAR

Transcription

1 Opening Thought 1 CAPT WEBINAR June 1, 2017 Regional Technical Expert Panel for States with Tribal Sub-Recipients Facilitator: Terri Yellowhammer, JD CAPT Training and Technical Assistance Specialist Presenters: Kim Dash, MPH, PhD CAPT Scientific Advisor Lucilla Mendoza MSW, CPP Prevention Systems Development Manager Washington State Department of Social & Health Services Loni Greninger Tribal Liaison/Administration Washington State Division of Behavioral Health & Recovery 1

2 This training was developed under the Substance Abuse and Mental Health Services Administration s Center for the Application of Prevention Technologies task order. Reference #HHSS I/HHSS T. The views expressed in this webinar do not necessarily represent the views, policies, and positions of the Substance Abuse and Mental Health Services Administration or the U.S. Department of Health and Human Services. This webinar is being recorded and archived, and will be available to all webinar participants. Please contact the webinar facilitator if you have any concerns or questions. 3 Facilitator Terri Yellowhammer Terri is a CAPT Training and Technical Assistance (T/TA) specialist and Tribal T/TA liaison, overseeing the identification and coordination of culturally responsive services to tribal grantees. She has extensive experience working with American Indians at the tribal, state, and national 4 levels. 2

3 Presenters Kim Dash Lucy Mendoza Loni Greninger 5 Today s Agenda Welcome and introductions Review objectives Discuss SAMHSA tools on cultural approaches to prevention Washington State will share their experiences working with tribal sub-recipients Examples of how the CAPT can help 6 3

4 Objectives Discuss how the CAPT decision support tools on culturally informed prevention practices can be used by prevention practitioners Share successes and challenges of working with tribal communities, and lessons learned Identify ways the CAPT can support states in building and maintaining positive working relationships with tribal communities 7 SAMHSA Materials on Cultural Approaches to Prevention Kim Dash, MPH, PhD CAPT Scientific Advisor 8 4

5 Three Decision Support Tools 1. Culturally-informed programs and practices 2. Cultural factors that are protective 3. Measures of cultural factors 9 Culturally-Informed Programs 10 5

6 Culturally-Informed Programs Practical Experience Best Research Evidence EBP Values and Traditions 11 Culturally-Informed Programs Information on each program is organized into these categories: Description Developed by Settings Evaluation design Evaluation outcomes Evaluation studies Featured in contact information Resources 12 6

7 Culturally-Informed Programs Programs hail from these national sources: Athena Forum Child Trends First Nations Behavioral Health Association Indian Health Service Johns Hopkins Center for American Indian Health OJJDP Model Programs One Sky Center Public Health Agency of Canada SAMHSA NREPP DHHS Home Visiting 13 Culturally-Informed Programs Using information in this tool: 1. Look at protective factors 2. Identify relevant programs 3. Determine strength of evidence 4. Balance strength of evidence against other needs 5. Refine your search by considering outcomes 6. Determine feasibility of implementation 7. Develop an evaluation plan, if needed 14 7

8 Cultural Protective Factors Inclusion criteria: Written in English Published between 2005 and 2016 Retrieved from relevant databases Focused on American Indian or Alaska Native populations 15 Cultural Protective Factors Factor Outcome Population Citation Living by traditional way Lifetime meth Barlow et use al., 2010 Greater importance ascribed to traditional Indian values Greater importance to practicing traditional Indian values Cultural pride/spirituality Low or no substance use during pregnancy Fewer or no alcohol abuse, dependence symptoms Pregnant American Indian teens from rural reservation communities in the Southwest US Pregnant American Indian teens from rural reservation communities in the Southwest US American Indian youth Barlow et al., 2010 Yu & Stiffman,

9 Cultural Factors Measures Example Measures American Indian Way of Life Biculturalism Cherokee Self-Reliance Communal Mastery Cultural Identification Ethnic Identity Historical Loss Spirituality 17 Cultural Factors Measures Measure Items Population Citation Religiosity and Spirituality This 3-item scale (α =.73) measures the importance of How proud are you of your American Indian ancestry? American Indian youth between Yu, M., & Stiffman, A.R. spirituality and culture How important is ages 13 and (2007). to an individual and being spiritual to 19 years old their degree of you? engagement in Do you feel spiritual traditional Native values are a part of American family activities and customs, your life? and cultural identity. 18 9

10 Questions? 19 Tribal Prevention and Wellness Programs Division of Behavioral Health and Recovery (DBHR), Behavioral Health Administration, WA State DSHS Lucy Mendoza, MSW, Prevention Systems Development Manager Loni Greninger, MPA, Tribal Administrator 10

11 Loni Greninger is a citizen of the Jamestown S Klallam Tribe in Sequim, WA. She has a Masters in Public Administration from The Evergreen State College in Olympia, WA. Before she joined the DBHR Team, Loni worked within the DSHS Office of Indian Policy as a Regional Manager. She currently works as the Tribal Administrator at the Division of Behavioral Health and Recovery, DSHS. Lucilla Mendoza has a Masters in Social Work (MSW) from Boise State University. Before working with the State of Washington she began her career with working with underrepresented students attending Lewis-Clark State College; including Native American, Latino, and International students. She also spent time working as a coordinator of a Substance Use Disorder Prevention coalition in a rural community in Washington State. She participated in the CSAP Fellowship program at the DSHS, Division of Behavioral Health and Recovery and is now a Prevention System Development Manager. She is the lead staff for Tribal Prevention Programs and has worked with WA State Tribes for the past 4 years. 21 Washington State 7.1 Million Seahawks Fans (people) 39 Counties 29 Federally Recognized Tribes State Baseball Team Seattle Mariners State Football Team Seattle Seahawks 5 volcanos: Mount Baker, Glacier Peak, Mount Rainier, Mount Adams, and Mount St. Helens Forest covers half of our land area 6/1/

12 Tribal Presence in WA State 29 Federally Recognized Tribes in WA, seven Recognized American Indian Organizations (RAIOs)/Urban Indian Health Programs (UIHP). WA State values the Government-to- Government relationship with the Federally Recognized Tribes of Washington State. 1987: DSHS Administrative Policy : Washington State Centennial Accord

13 Government to Government Indian Policy Advisory Committee (IPAC) Created in 1984, IPAC is a body of tribal representatives utilized for consultation on major policy changes (funding, legislation, etc.). IPAC has five subcommittees that meet on a regular basis; ad hoc meetings are added as needed. Administrative Policy 7.01 Dictates how DSHS will communicate, collaborate, and consult with the 29 Tribes, as well as communicate and collaborate with the RAIOs. Annual 7.01 Planning includes annual review of service plans created in partnership to serve a common population. 25 Office of Indian Policy The Office of Indian Policy's role is to assist the collective needs of Tribal Governments and Recognized American Indian Organizations to assure quality and comprehensive program service delivery from the Department of Social and Health Services to all American Indians and Alaska Natives in Washington state

14 Formal Relationship Division of Behavioral Health and Recovery Indian Child Welfare Economic Services Administration Developmental Disabilities Administration Rehabilitation Administration Office of Indian Policy Aging and Long-Term Supports Administration 29 Federally Recognized Tribes 27 Program Relationship Tribal Prevention and Wellness Programs Mental Health Promotion Projects (MHPP) Marijuana Prevention/Treatment Focused Projects (DMA) Division of Behavioral Health and Recovery 29 Tribes 1 Tribal Administrator (Loni) 4 Treatment Staff (Treatment Managers) 1 Tribal Prevention Lead (Lucy) 4 Prevention Staff (Prevention System Managers) 28 14

15 Tribal Prevention Programs 26 of 29 Federally Recognized Tribes in WA use DBHR funding for either substance use disorder prevention programs, DMA projects, or Mental Heath Promotion projects. DSHS partners with the Office of Indian Policy to provide funding through consolidated contracts. 29 Funding Streams Substance Abuse Block Grant State Mental Health Promotion (MHPP) Funds State Marijuana Prevention (DMA)Funds 30 15

16 Tribal Prevention DBHR Workgroup Prevention staff working with tribes developed a work plan to increase resources for our tribal partners. Increase capacity of Tribes by increasing training, and technical assistance with are culturally relevant. Work on developing document management systems to assist with tribal tracking and resource development. Expand resources to support tribal prevention programs. Increase knowledge and capacity to the Prevention team in working with Tribes. 31 Protocol for Working with Tribes Meet and greet meetings (face to face is best!). Consistent staff working with tribes. Single point of contact at the tribes and DBHR. Each Prevention System Manager (PSM) connects with tribal staff on a quarterly or monthly basis as needed. DBHR PSMs are able to travel to visit Tribes to offer technical assistance

17 Tribal Prevention Program Incorporate Center for Substance Abuse Prevention (CSAP) strategies. Provide evidence-based practice (EBP) Lists for suggested activities for MHPP and Marijuana Misuse and Abuse Prevention Risk Factors. Allow for flexibility to implement innovative and cultural programs

18 35 Communication Efforts Prevention Toolkit Tribal prevention partner list serve Weekly announcements to prevention partners 36 18

19 Increased Training for Tribes Native American Substance Abuse Prevention Skills Training Quarterly Learning Community Meeting Tribal Substance Use Disorder Prevention Gathering Evidence Based Practice Trainings for Tribal Communities Incredible Years Quileute Nation Natural Native Mentoring Chehalis Tribe Positive Indian Parenting, Spokane, WA Family Spirit Presentation Learning Community 37 View and Post Trainings on the Athena Forum Website for prevention professionals in Washington State: 6/1/

20 Increase Tribal Participation in the Healthy Youth Survey Ask HYS.net State, Educational Service Districts (ESDs), and County level data Fact Sheets Frequency Reports Two Tribal Schools participated in ,154 American Indians/Alaska Native (AI/AN) participants completed the survey 39 Tribal Partnerships DBHR assists to create relationships between Tribes, RAIOs and Urban Indian Health Programs (UIHPs) and their local Community Prevention and Wellness Initiative Coalitions (CPWIs). DBHR invites tribal participation on conference and training planning meetings. DBHR invites tribal participation on the Statewide SPE Prevention Consortium. Tribal representation on the State Epidemiological Outcomes Workgroup. Annual 7.01 Planning 40 20

21 Tribal Prevention Program Highlights Tribal Prevention and Wellness and Community Prevention and Wellness Partnerships 41 Tribal Prevention Program Highlights WA State Exemplary Tribal Prevention Professional Quileute Nation Miss Ann Penn-Charles Chehalis Tribe Steven Dorland 42 21

22 Challenges Staff turnover at DBHR and the Tribes. Statewide training for new data systems. Looking to engage and identify funding resources for RAIOs. Limited tools for choosing EBPs specifically for tribes and limited tools for evaluation of these programs. 43 Successes Consistent staff at DBHR allows for stronger engagement with tribes. Commitment to increase resources to tribes. DBHR values the Gov-to-Gov relationship. DBHR understands that tribal culture can bring healing in the area of behavioral health Plans give a history of tribal programs and use of DBHR funds

23 Thank You! Loni Greninger, MPA / Tribal Administrator Division of Behavioral Health and Recovery (DBHR) Behavioral Health Administration (BHA) Washington State Department of Social and Health Services (DSHS) (O) (360) / (c) / GreniAR@dshs.wa.gov Lucilla Mendoza MSW, CPP / Prevention System Development Manager Division of Behavioral Health and Recovery (DBHR) Behavioral Health Administration (BHA) Washington State Department of Social and Health Services (DSHS) (O) / mendol2@dshs.wa.gov 6/1/ Questions? 46 23

24 Successes What successes have you experienced in your work with tribal community subgrantees? 47 Challenges What challenges have you experienced in your work with tribal community subgrantees? 48 24

25 Please Share Now that you have heard from your grantee peers, has anything additional come to mind based on their experiences and/or yours? 49 How the CAPT Can Help: Examples Training/technical assistance (T/TA) around cultural responsiveness Connecting less experienced grantees with more experienced grantees Substance Abuse Prevention Skills Training (SAPST) for American Indians and Alaska Natives, if sub-recipients are interested 50 25

26 CAPT T/TA on Working with Tribal Communities What are some other ways the CAPT can help meet your needs moving forward? Is there a need for additional peer sharing opportunities or resources on this topic? If so, what would you find most useful? 51 Please Share Based on what you heard today, is there anything you may do differently in your work with tribal communities? 52 26

27 Resource Team Contact Information Chuck Klevgaard Central RT Coordinator Lourdes Vazquez Southeast RT Coordinator Marie Cox Southwest RT Coordinator Gisela Rots Northeast RT Coordinator Alyssa O Hair West RT Coordinator aohair@casat.org 53 If you have questions or comments, please don t hesitate to contact: Melissa Martin CAPT Training and Technical Assistance Associate MMartin@edc.org 54 27

28 Evaluation Please click on the link below to provide feedback on this event: Your feedback is very important to us! 55 Closing Thought 56 28